“ We're not there yet. ” This phrase is often uttered by parents when the question of consulting a professional is raised. As if consulting for a screen problem is excessive, dramatizing, or reserved for truly serious situations. As if asking for help reflects parental failure.

None of this is true. Consulting early — before the situation becomes a crisis — is the smartest decision a parent can make. And the professionals who support these situations are trained for that — not to judge parents, but to help the teenager and their family regain balance.

1. Why parents hesitate to consult

Several barriers consistently arise. Shame first — “ what will the doctor think of us? ” Minimization next — “ all teens are like that, it's not an illness. ” Fear of labeling — “ if I consult, he will be labeled "addict" forever. ” And sometimes simply ignorance — not knowing who to turn to, not knowing if the situation justifies a consultation.

These barriers are understandable. They should not indefinitely delay a decision that can change the course of things for a struggling teenager. A consultation does not commit to anything — it opens possibilities, provides an external and expert perspective, and often reassures as much as it worries.

2. Signals that require quick consultation

✦ Consult in the following weeks if you observe

  • Systematic nighttime use despite all attempts to stop it
  • Violent outbursts (physical or verbal) during screen interruptions, recurrent
  • Significant school dropout (absences, plummeting grades, refusal to work)
  • Complete social isolation — the teenager no longer sees any friends outside of school
  • Notable personality changes over several weeks (withdrawal, constant irritability)
  • Signs of severe depression or anxiety accompanying intensive use
  • Repeated unauthorized spending related to games (in-app purchases, virtual currencies)
  • The teenager themselves expresses distress over their usage and an inability to stop

3. Emergency situations: do not wait

🚨 Consult urgently if

The teenager expresses suicidal thoughts or thoughts of self-harm, even indirectly related to screens (online humiliations, cyberbullying, severe depression). In this case, do not wait for a scheduled appointment — contact the general practitioner urgently, call 15 (emergency services), 3114 (national suicide prevention number), or go to pediatric emergency services.

4. The general practitioner: first point of contact

The teenager's general practitioner is often the best first point of contact — for several reasons. They know the teenager and their medical history. They can assess whether underlying physical or psychiatric factors contribute to the problem (undiagnosed ADHD, anxiety, depression). They can refer to the right specialists. And they are often more easily accessible than a specialist as a first point of contact.

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The general practitioner

First contact — within 2 weeks

What they can do : assess the teenager's overall condition, sleep, mental health, look for comorbidities (ADHD, depression, anxiety). Refer to a psychologist, addiction specialist, or a CJC. Write a referral letter if necessary. Sometimes, simply talking to the teenager without the parents — which can unlock things the teenager does not say at home.

5. Young Consumers Consultations (CJC): free and anonymous

CJCs are consultations specialized in youth addiction — initially focused on drugs and alcohol, they increasingly support behavioral addictions including screens. They are free, confidential, and do not require a prior appointment with a doctor.

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CJCs — Young Consumers Consultations

Free — Anonymous — No prescription needed

Accessible via : the website of the National Public Health Agency, CSAPA (Care, Support and Prevention Centers in Addiction), or by searching “ CJC + your city ”. The teenager can go alone from the age of 16. Parents can also go without the teenager for a parental guidance consultation. It is often a first step less intimidating than seeing a psychologist or addiction specialist.

6. The psychologist: supporting the teenager and the family

The psychologist is particularly indicated when screen addiction is accompanied by psychological suffering — anxiety, low self-esteem, relational difficulties, mild to moderate depression. The psychological work aims to understand what the screen compensates for — and to find other ways to meet underlying needs.

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The clinical psychologist

Reimbursed — My Psy Support (up to 12 sessions)

What they can do : individual support for the teenager in CBT (cognitive-behavioral therapy) or systemic approach. Family therapy if family dynamics are involved. Parental guidance for parents. Since 2022, sessions with a psychologist are partially reimbursed (My Psy Support scheme — up to 12 sessions per year on referral from the general practitioner).

7. The addiction specialist: for advanced situations

The addiction specialist is specialized in treating addictions — behavioral as well as substance-related. They intervene when usage is clearly addictive, resistant to attempts at family regulation and light psychological approaches. They have specific assessment tools and can coordinate multidisciplinary care.

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The addiction specialist

By medical referral — In CSAPA or private practice

What they can do : in-depth clinical assessment of the addiction, identification of psychiatric comorbidities, implementation of a personalized therapeutic program, coordination with other professionals (psychiatrist, doctor, family). Addiction specialists focused on behavioral addictions in youth are still few in France — CJCs and CSAPAs are often the best entry point.

8. Child psychiatry: when comorbidity is present

When screen addiction is accompanied by a significant psychiatric disorder — severe depression, debilitating anxiety disorder, ADHD, personality disorder, suspicion of early psychosis — child psychiatry is necessary. Access is more difficult (often long wait times), but pediatric emergency services can be a quick entry point in critical situations.

9. The teen refuses to consult: what to do?

This is one of the most common and exhausting situations for parents. The teenager flatly refuses to see “ a therapist ” — out of shame, fear of being labeled, denial of the difficulty, or rejection of anything coming from adults. Here are some concrete suggestions.

“ I started by consulting alone — without my son. The psychologist helped me change my approach with him. Two months later, it was my son who asked to see him. ”

— Father of a 15-year-old, Paris
👨‍👩‍👧 For parents — when the teen refuses
Start by consulting yourself

Parental guidance — consultation with a psychologist or in a CJC for parents alone — is often the best first step. It helps parents change their posture and approach, which modifies the relational dynamic with the teenager. Sometimes, it is this modification that allows the teen to later accept coming.

Another approach : suggest to the teenager a consultation “ to talk about their sleep ” with the doctor — without directly mentioning screens. The doctor can address the topic in a less emotionally charged setting than home.

✦ For teachers — what can be said

The school nurse or school psychologist can be a first point of contact for a teenager reluctant to consult outside of school. The school environment is sometimes less symbolically loaded than a therapist's office — and allows for a first conversation about the difficulty.

10. What teachers can say to families

When a teacher or school counselor wishes to refer a family for a consultation, some phrases help to overcome parental resistance. The goal is not to diagnose or prescribe — but to share an observation and inform about available resources.

Useful phrases to refer a family : “ There are free and confidential consultations for young people — the CJCs — that can help assess the situation. ” “ Your general practitioner can be a good first point of contact to evaluate what your child is going through. ” “ The school psychologist at the establishment can meet your child if you agree — it’s a first step without commitment. ” These phrases suggest, inform, and do not prescribe — which is the appropriate limit of the teacher's role.

🎓 Train your team to guide families

The DYNSEO training “ Screen addiction in middle and high school students ” provides educational teams and parents with the markers to identify when to consult and who to refer to. Qualiopi certified.